Prenatal
3 labs/screenings at first prenatal visit 8 weeks gestation.
What are type and screen (blood type & Rh factor), HIV, Hepatitis B, gonorrhea/chlamydia, pap smear if due, urinalysis, urine drug screen, RPR (syphilis), rubella, ultrasound to confirm IUP and dating?
The first three stages of labor.
What are: first stage - latent 0-5cm, active 6-10cm; second stage - 10cm til baby delivered; third stage - after baby delivered til placenta delivered?
The fourth stage of labor.
What is the time after placenta is delivered for the first two hours aka 'recovery' after giving birth?
Normal ranges for newborn vital signs.
What are HR 110-160, RR 30-60, Temp 36.5-37.5 C (97.7-99.5 F)?
Newborn medications given within 2 hours of birth.
What are erythromycin, vitamin K, and hepatitis B vaccine?
Expected due date with LMP June 14, 2022.
What is March 21, 2023?
Breech presentation, failure to progress, prior classical uterine incision, nonreassuring fetal heart tones.
What are indications for c-section?
3 main causes of PPH.
What are uterine atony, retained placenta, and laceration?
Possible complication of forcep delivery.
What are facial laceration, facial bruising, transient facial paralysis?
Respiratory depression, absent DTRs.
What are signs of magnesium toxicity?
Positive signs of pregnancy.
What are doppler FHR, ultrasound, fetal movement felt by experienced practitioner?
Two FHR accelerations in 20 minutes.
What is a reactive NST?
3 risk factors for uterine atony.
What are grand multiparity, twin gestation, LGA fetus, prolonged first stage of labor, prolonged use of oxytocin (Pitocin), polyhydramnios?
Signs of effective bonding with infant.
What are holding, swaying, adoring newborn, attentive to newborn needs such as crying, feeding, diaper changes, etc., asking questions to best care for infant?
Asthma is a contraindication.
What is carboprost (Hemabate)?
GTPAL for patient currently 12 weeks pregnant; an ectopic pregnancy 3 years ago; a 41 week boy 5 years ago; identical twin girls born at 30 weeks 2 years ago.
What is G4T1P2A1L3?
Explain what VEAL CHOP means.
What is: Variable decels = cord compression; early decels = head compression; accels = okay; late decels = placental insufficiency?
Reason to encourage early ambulation after c/s.
What is to prevent DVTs?
What are hearing screen, CCHD (pulse ox) screen, TCB, and newborn metabolic screen (PKU)?
Hypertension is a contraindication.
What is methergine?
What is Toxoplasmosis - teratogenic - avoid cat litter?
S/s placental abruption.
What are rigid, board-like abdomen, contractions that don't stop, pain, dark red vaginal bleeding, fetal distress?
S/s of mastitis.
What are fever, malaise, warm tender red area(s) on breasts?
Interventions for hyperbilirubinemia.
What are phototherapy, adequate feedings, strict I&O record, repeat serum bilirubin labs?
3 tocolytic medications.
What are terbutaline (Brethine), nifedipine (Procardia), and magnesium sulfate?